残联免费白内障手术2 000例中远期疗效观察

目的：观察由残联组织在我院施行白内障免费手术后患者中远期视功能情况。方法：回顾分析2005-08/2011-06在我院施行白内障手术后患者2000例2278眼。随访3mo～3a,记录视力、后发性白内障、眼底情况。结果：术后最后一次随访时：矫正视力≥0.05者2257眼（脱盲率99.08%）;≥0.3者2098眼（脱残率92.10%）。在随访中共发现视力下降392眼,其中后发性白内障278眼,眼底病变107眼,术后迟发性葡萄膜炎5眼,眼外伤2眼。结论：白内障手术后角膜散光、后发性白内障及眼底病变是引起患者视功能损害的主要原因。术后迟发性葡萄膜炎值得重视。在贫困落后地区,眼科医务工作者也应重视向糖尿病和高血压患者宣传其所患疾病的防治知识。

Curative effects of free cataract surgery recommended for 2000 cases

AIM：To observe the middle and long-term visual function in patients after free recommended cataract surgery by the CDPF organization.METHODS：Totally 2000 cases 2278 eyes from August 2005 to June 2011 in our hospital after cataract surgery were retrospectively analyzed.The patients were followed up for 3 months to 3 years.The vision,after-cataract and the fundus condition were recorded.RESULTS：：The last postoperative follow-up：the best-corrected visual acuity was≥0.05 in 2257 eyes（visual recovery rate 99.08%）;≥0.3 in 2098 eyes（the demaimed rate 92.10%）.During follow-up visual acuity decreased in 392 eyes,of which after-cataract was in 278 eyes,fundus disease in 107 eyes,postoperative delayed uveitis in 5 eyes,ocular trauma in 2 eyes.CONCLUSION：Corneal astigmatism after cataract surgery,after-cataract and fundus disease are main reasons of visual function damage.Postoperative delayed uveitis is worth paying more attention.In poor and backward area,the ophthalmologists should also publicize the related prevention and control knowledge to patients with diabetes and hypertension.